HomeMy WebLinkAbout2003-P06503 - mechanical ' PERMIT
�,ITY� OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06503
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: ��2�2003
SITE ADDRESS: 763 Ferndale Rd N
Wayzata,MI�I 55391
P I D: 3 6-118-23-11-0026
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 48.35
Valuation: $ 3,868.15
State Surcharge Fee: $ 1.93
Misc.Fee: $ 1.50
TOTAL FEE: $ 51.78
APPLICANT: Total Comfort OWNER: Scott&Deborra Wiele
12800 Highway 55 763 Ferndale Rd N
Plymouth,MN 55447 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
Oct-04-2002 08:O7am From-CITY OF ORONO +A522494616 T-182 P 002/004 F-452
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CITY OF ORONO APT'LICATION FO�t MECHANICAL PERMIT
Box 56 (2750 Kellcy Parkway)
Crystal Bay, MN 55323
ENER L 1NNF �N
1. You may apply for mtchru►ical permits by mail or in person at the City offices. Applications will be
reviewed and a permit will 6e issucd within two working days.
2. Permit cards will be sent by return mail after a teview is completed. PERMITS ARE NOT VALID
UNTIL YOU RECETVE A PE�LMTT, WORTC MUST NOT BEGIN UNTn.THF PERMIT CARD IS
POSTfiD ON TNE 70B SiTE,
3. Mec anical Desi s-Complete calculations, detzils and specifications are required for each heating,
ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat
gain calculacion, design temperatures, equipment ratings and identification as to type,manufacturer and
m�dei. fla�a siia::�e przse���cd un iorm proviued.idenzi ication of and specificacions ior wacer heating
equipment shall also be provided.
4. When any new construction or remodeling is involved,a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Coda/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(9S2)249�600. 24-hour notice required.
�. House Heating Test Record must be submined before finnl.
Instructions
Complete all items on this application. Compute the permit fce. Sign and date the certification
TNCOMPLETE APPLICATIONS W1LL NOT BE PROCESSED. If you have questions, call
(952) 249-46U0.
Please check one: ❑ New ❑ Addition ❑ Repair �Replace�Residencial [] Commercial
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JOB SITE: �J �� �.. ZiP: 5� C I
Owner's Name: � �d •, t Ph�se Num�er: S� -� JL
Mailing Address: City: Zip:
� �,3�"� �'`r'n���� Phone umber: ���'� 3�3'��J��
Contractor s Name:
Mailing Address: �J �' �� C�h': � Zip: � �(
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Oct-04-2002 oo:or�m Fro�-CITY OF ORONO +9522484616 T-182 P.003/004 �-452
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SVSTEM DFSCRIPTION
HEATYNG 5YS'�'EMS
Quancity:
Mnke: •
Model:
Fuel:
Flue Size:
Input B7Us:
Output BTLls: '
CFM: •
COOLING SYSTCMS
Quantity: �
u�x�: ���
Model: ��l Jy��I J�
Tons: ^��/�'
H.Pawer
FTREPLACES
❑ Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
� Wood stove with flue
Brand Name Model No.
�'�NTTY..a�TTON
No. Kitchen Exhaust duct recalculating cfm
No. Bath��xhaust(must l�ave duct outside) cfm
No: Other Fans; Locations cfm
FCJEL STOYtAGE(MUST BE APPROVED�Y F[TtE MARSC-�AL)
❑ Installation or ❑Removal
�Fuel eil: gallons ❑ underground ❑ inside ❑outside
��„ LP Gas: gallons
[� Other Gas opening
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pcc-04-2002 OA:OB�m Froa�-CITY OF ORONO +9522dA4616 T-182 P 004/004 F-452
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pERMIT�'EE CALCULATYON(S)
^^ c•�•� Statute ❑ Yes This Sect�on Applies '
���_ _
Thc replacement o€a Residential fixt�rc�r-nw.��Ance that mccts all three of the following requirements:
1) D�es not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludinc the cost of the fixture or appliance:
and
3� Isi�cnproved, insralled or replaeed hy the homeowner or]icensed conu�actor.
Skip next section; Cosi of Permit � 1 5.00
Stnte Surcharge $ �.50
Mail-In Fee $ 1.�0
If Ahov� �oes noc��Niy, foilow guidelines below:
1. C�ntract price* is .0125°/a of job wich a Mini�num Fee of($35.00)
— �' �'�_i� � .o�zs � ��: 35
(con�ract price) (minimum S3S.00) ,
2.State Surcharge• *'� Add the State Building Codc Division a Minimum Fee of f� .�Ol
� ��-( j x .0005 $ ,��
(contract pricc) (minimum$.50)
3, postagc and HandlinQ (Only rnai!-in applicafions) � 1.�0
4.TOTAL PE'RIVIIT F�E (Add lines 1-3 ahove) S �I +�� _ "�j
•CONTRACT PRtCE or JOB COST mtans thc actuai or esti;a�t:�d�iotEar amount chargcd for the permittcd work including
mn�zrials,labor,profit,and othtr fixed co��s. le is the emount to be chnrged to thc cu�tomer for thc work done.If any maLerial,
equipment, labor,ot inscni!a�ior.is fu:,^„sR•a by the owner,tcne.nt or any other v�y thc r.�sonable markz[vnlue of such items
must bc uddtd to tAt tstimatCd cost or conuacc price for permit fce purposes.In the zvent thal thtre is a dispuce on the amount oi
[h�job cost,ehe City may requtSl the submission of a signed copy of the acn�nl conaacc.
"'Tht S7ATE SLA�CHAKGE i�.00OS of thc con[roct prica unGer S1,000,000�or 5.50-whichever is grenter. For valua�ionz ovcr
51,000,000 cslt the Dcportmrnt of[nspectional$ervices for the price. .
The undetsigncd ht�eby aQplies co the Ciry for issunr+ce of a Meehanicai Ptrmit,agrccs to do ali wor4c in SRict accordanec with
�he ordinpnces ofd+e Ciry and the regula�ions of the Minncsotn Smta BuildinY Code,nnd ccrtifies that nl!scntcmen�s madc on this�
opplicssion ere comPlece,true and correcL
pPplicant's Si�acurc:
��� �JZ Date: `f� �� '
Approved By: Dace:
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